Hawkins J, Nelson E W
Am J Surg. 1982 Dec;144(6):624-6. doi: 10.1016/0002-9610(82)90538-4.
The Hickman catheter is well established as a safe, reliable means of venous access in a variety of clinical situations. Although the technique for placement by surgical cutdown in the cephalic or external jugular vein is standardized, our experience placing 102 catheters in the last 40 months has led us to evolve and adopt a percutaneous method that we have now applied to almost all catheter placements. Operative time has been dramatically reduced, patient discomfort minimized, and no change in short- or long-term morbidity had been noted. The procedure has been described in detail, and our overall experience with placement of the Hickman catheter in a variety of clinical situations has been reviewed. We now consider this percutaneous technique to be the primary method of Hickman catheter placement unless specifically contraindicated.
希克曼导管作为一种在各种临床情况下安全、可靠的静脉通路手段已得到广泛认可。尽管通过切开头静脉或颈外静脉进行置管的技术已标准化，但我们在过去40个月内放置102根导管的经验促使我们改进并采用了一种经皮方法，目前我们已将其应用于几乎所有的导管置入。手术时间显著缩短，患者不适感降至最低，且未观察到短期或长期发病率有变化。该操作已被详细描述，我们还回顾了在各种临床情况下放置希克曼导管的总体经验。除非有明确禁忌，我们现在认为这种经皮技术是希克曼导管置入的主要方法。
